• (2) organizing church/synagogue-based AIDS care teams to provide emotional support and assistance to people with AIDS. Recently, the AIDS teams have been "mainstreamed" into a general care team network that assists victims of other chronic conditions such as Alzheimer's disease.
  • Again in Jefferson County, a broad range of HIV care providers working in a variety of clinical settings has developed a well-coordinated system of care for HIV-infected women and their children. These programs serve local HIV/AIDS patients as well as those referred from northern and southern Alabama. Patients travel as much as four to five hours to receive integrated care in Birmingham's HIV centers. For all patients, whether local or referred, attention has been given to assuring smooth transitions from testing to primary and specialty care; providing long-term follow-up care; and providing an array of support services including transportation, emotional support, and funding for needed medications. Included among the collaborating institutions are the "1917 Clinic" at the University of Alabama at Birmingham, the JCDH, St. George's Clinic at Cooper Green Hospital, and the Children's Hospital of Alabama.
  • In rural Greene County, WAHS has integrated HIV/AIDS education, counseling and testing into a well-developed comprehensive prenatal care program. Using a model developed under a Ford Foundation grant, program components include outreach and home visiting, the use of clearly laid out educational protocols, and monitoring of quality assurance. WAHS achieves near universal prenatal testing among its maternity patients.

Site Addresses And Participants

The IOM committee members who visited the programs in Alabama were Lorraine Klerman and Sten Vermund. Others present from the IOM were Michael Stoto, study director, Donna Almario, and Amy Fine (consultant).

1917 Clinic

908 South 20th Street

189 CCB

Birmingham, AL 35294-2050

Malcolm L. Marler, Chaplain Education Specialist, Infectious Disease

Phyllis Percy, NP

Michael Saag, MD, 1917 Clinic Director, Professor, Infectious Disease

Kathleen Squires, MD, Associate Professor, Infectious Disease

Alabama Department of Public Health

201 Monroe Street, Suite 1400

Montgomery, AL 36104

Jane Cheeks, MPH, Director, Division of HIV/AIDS,

Richard Holmes, MPH, Director, HIV/AIDS Surveillance

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